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Dessert coaching questionnaire

1. Are you or any of your family members allergic to any of these? (Please mark all that applies)

Gluten Lactose Casein Egg Egg white Egg yolk Walnut Almond Pistachio Peanut Bush nut Cashew nuts Pumpkin seed Sunflower Pecan Macadamia nuts Brazil nuts Pine nuts Linseed Sesame Buckwheat Millet Sorghum Wheat Oats Quinoa Barley Spelled wheat Amaranth Couscous Poppy Coconut Soy Avocado Green peas Puppet Chickpeas Maize Rice Potato Strawberry Plum Orange Raspberry Figs

Anything else I missed:

2. What allergies do you have in your group of friends? (Please mark all that applies)

Gluten Lactose Casein Egg Egg white Egg yolk Walnut Almond Pistachio Peanut Bush nut Cashew nuts Pumpkin seed Sunflower Pecan Macadamia nuts Brazil nuts Pine nuts Linseed Sesame Buckwheat Millet Sorghum Wheat Oats Quinoa Barley Spelled wheat Amaranth Couscous Poppy Coconut Soy Avocado Green peas Puppet Chickpeas Maize Rice Potato Strawberry Plum Orange Raspberry Figs

Anything else I missed:

3. Is there anything you can't eat due to illness? What diet does your condition require?

4. What can you not eat? (Please list those foods)

5. What kind of illness is there in the family or in a group of friends that requires a special diet?

6. What can't they eat? (Please list those foods)

7. What nutritional lifestyle do you or your family/friends follow? (Please mark all that applies)

Vegan CPBD (complete plant-based diet) Vegetarian Lacto-vegetarian Ovo-vegetarian Lacto-ovo-vegetarian Pescetarian Pollotarian Flexitarian

Anything else I missed:

8. What kind of diet do you or your family/friends follow? (Please mark all that applies)

Keto diet Paleo diet Calorie counting Atkins diet Zone diet DASH diet (Dietary Approaches to Stop Hypertension) Diabetes diet GI diet (Glycemic Index) Lectin Dr. Steven Gundry Hormone diet Histamine diet Mediterranean diet Mono diet Chocolate diet

Anything else I didn't think of:

9. Is there an ingredient you don't like? (Write all)

10. Is there an ingredient that you know your family members/friends don't like? (Write all)

11. Is there a sweetener you don't like? (Write all)

12. Is there a sweetener that you know your family members/friends don't like? (Write all)

13. What desserts do you like? (Write all. Even write here if you haven’t eaten them for a long time, due to your illness, diet, etc.)

14. What desserts would you like to eat that you haven't dared to taste or haven't been able to eat before?

15. Do you like fruity desserts?

Yes No

16. Do you like chocolate?

Yes No

17. Do you like creamy desserts?

Yes No

18. Did you like to snack with your family members/friends at gatherings?

Yes No

19. Are you used to baking?

Yes I bake regularly No Every once in a while I like to buy it ready made Sometimes I try, but I always fail miserably No. I've had so many failures with it that I don't even try anymore

20. Are you an experienced dessert maker?

21. Do you like to bake cakes or cookies?

22. Why did you sign up for this personal consultation?

23. Have you thought of anything else to share with me?

First name

Last name

Name you prefer

Your age

Country

Email address

Dessert coaching questionnaire

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